Individual provider Active NPI

Michelle V Castro, MA, LMHC, SUDP

  • Mental Health Counselor
  • Port Orchard, WA
National Provider Identifier
1194122424
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60510129 Issued in WA
Practice address
1700 SE Mile Hill Dr Ste 220
Port Orchard, WA 98366-3553
Phone
(360) 434-9369
NPI assigned
Dec 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60899092 WA
Mental Health Counselor 101YM0800X MC60510129 WA Primary

Addresses

Primary practice location

1700 SE Mile Hill Dr Ste 220
Port Orchard, WA 98366-3553

Mailing address

2916 NW Bucklin Hill Rd # 110
Silverdale, WA 98383-8514
Phone (360) 434-8369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522003700 WA Practitioner - Mental Health Counselor 3779922927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

729 Prospect St
Suite 201
Port Orchard, WA 98366-5330
Phone (608) 572-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CP60899092WAMDAddiction (Substance Use Disorder) Counselor
MC60510129WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery-in-Motion, LLC Addiction (Substance Use Disorder) CurrentSince Feb 20, 2024 Accepting new patients

Locations

1700 SE Mile Hill Dr
Ste 220
Port Orchard, WA 98366
Phone (360) 434-8369

729 Prospect St
Ste 201
Port Orchard, WA 98366
Phone (608) 572-5500

2916 NW Bucklin Hill Rd
Silverdale, WA 98383
Phone (360) 813-6021

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1194122424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 NW BUCKLIN HILL RD # 110",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838514",
            "telephone_number": "360-434-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE MILE HILL DR STE 220",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663553",
            "telephone_number": "360-434-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MICHELLE",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC, SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60899092",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60510129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

Verify at the official NPI Registry.